Healthcare Provider Details

I. General information

NPI: 1093713893
Provider Name (Legal Business Name): MARY DARNELL H SCAFE M.A., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 CHATTANOOGA AVE
DALTON GA
30720-2637
US

IV. Provider business mailing address

1436 CHATTANOOGA AVE
DALTON GA
30720-2637
US

V. Phone/Fax

Practice location:
  • Phone: 706-226-2142
  • Fax: 706-272-4137
Mailing address:
  • Phone: 706-226-2142
  • Fax: 706-272-4137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD003599
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA252
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: